Individual provider Active NPI

Bhairavi Kharod Dholakia, MD

  • Ophthalmology Physician
  • Cumming, GA
National Provider Identifier
1669585022
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
66279 Issued in GA
Practice address
1230 Bald Ridge Marina Rd
Cumming, GA 30041-7536
Phone
(770) 292-1999
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 66279 GA Primary

Addresses

Primary practice location

1230 Bald Ridge Marina Rd
Cumming, GA 30041-7536

Mailing address

1485 Jesse Jewell Pkwy NE
Ste 100
Gainesville, GA 30501-3801
Phone (770) 534-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000473 GA Practitioner - Ophthalmology 9436157708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Eye Associates LLCGroup PAC ID 2860486438, 20 clinicians

Practice addresses (Care Compare)

1230 Bald Ridge Marina Rd
Suite 100
Cumming, GA 30041-7950
Phone (770) 292-1999

1485 Jesse Jewell Pkwy NE
Suite 100
Gainesville, GA 30501-3802
Phone (770) 534-1711

2061 Beverly Rd
Gainesville, GA 30501-2034
Phone (770) 532-4444

4285 Jim Moore Rd
Suite 103
Dacula, GA 30019-1549
Phone (770) 271-0000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66279GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Ophthalmology CurrentSince May 2, 2023 Accepting new patients
Gainesville Eye Associates LLC Ophthalmology CurrentSince May 2, 2023 Accepting new patients

Locations

5670 Old Winder Hwy
Braselton, GA 30517
Phone (770) 532-4444

1230 Bald Ridge Marina Rd
Ste 100
Cumming, GA 30041
Phone (770) 292-1999

1230 Bald Ridge Marina Rd
Cumming, GA 30041
Phone (770) 292-1999

4285 Jim Moore Rd
Ste 103
Dacula, GA 30019
Phone (770) 271-0000

2061 Beverly Rd
Gainesville, GA 30501
Phone (706) 867-4116

1485 Jesse Jewell Pkwy NE
Ste 100
Gainesville, GA 30501
Phone (770) 292-1999

1485 Jesse Jewell Pkwy NE
Ste 180
Gainesville, GA 30501
Phone (706) 521-8413

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: bdholakia@esp.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1669585022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PKWY NE",
            "address_2": "STE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013801",
            "telephone_number": "770-534-1711",
            "fax_number": "770-534-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BALD RIDGE MARINA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417536",
            "telephone_number": "770-292-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOLAKIA",
        "first_name": "BHAIRAVI",
        "middle_name": "KHAROD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "66279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.